Most Relevant Information
Provider Data
NPI Number: | 1003233032 |
Provider Name: | DORIS L JESKE LMT |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 227.009621 |
Most Important Dates
Enumeration Date: | 03/27/2014 |
Last Updated: | 03/27/2014 |
Provider Practice Location
313 W MAPLE ST
NEW LENOX
IL
604511633
Practice Location Phone/Fax
Phone: | 8157176483 |
Fax: | 3122776939 |
Provider Mailing Location
5559 W MAIN ST
MONEE
IL
604499290
Provider Mailing Phone/Fax
Phone: | 7088976226 |
Fax: |